Location: LOC_CIRA-Cira Centre
Req ID: 220514
Shift: Days
Employment Status: Regular – Full Time
Seeking Breakthrough Makers
Children’s Hospital of Philadelphia (CHOP)—named America’s 2022 Best Large Employer by Forbes—offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation.
At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career.
CHOP’s Commitment to Diversity, Equity, and Inclusion
CHOP is committed to building an inclusive culture where employees feel a sense of belonging, connection, and community within their workplace. We are a team dedicated to fostering an environment that allows for all to be their authentic selves. We are focused on attracting, cultivating, and retaining diverse talent who can help us deliver on our mission to be a world leader in the advancement of healthcare for children.
We strongly encourage all candidates of diverse backgrounds and lived experiences to apply.
Under direction, resolves complex payor issues, resolves high-dollar claims, performs credentialing and acts as liaison with internal coding.
Subject matter expert, handles most complex issues, performs audits.
Ensure accurate billing protocols, monitors pre and post denials. Ensures claims are processed timely through interaction with coding process teams. Ensures clean audit process.
Provides excellent customer service
Other duties as assigned
Job Responsibilities (Continued)
Job Responsibilities (Continued)
Required Licenses, Certifications, Registrations
HBI or CRCR Certified within six (6) months of placement into position.
Required Education and Experience
Required Education: High School Diploma/GED
Required Experience: Seven (7) years’ of patient financial services experience.
Preferred Education, Experience & Cert/Lic
Preferred Education: Bachelor’s Degree
Preferred Experience: Eight (8) or more years’ experience in Healthcare Billing
Additional Technical Requirements
Excellent attention to detail, organized, computer skills, strong analytical skills Special Projects – Focus task, detail oriented, considered as Subject Matter Expert (SME)
To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, professionals working onsite—at any CHOP location, for any portion of time—must be vaccinated for COVID-19. Learn more.
CHOP also requires employees who work in patient care buildings to receive an annual influenza vaccine. Employees may request exemptions for valid religious and medical reasons. Start dates may be delayed until candidates are immunized or exemption requests are reviewed.
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